Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Berthold Bein¹  Gisela Lilja²  Fernando Rosell-Ortiz³  Leo Bossaert⁴  Kristin Alm-Kruse⁵  Jan Wnent⁶  Ingvild B. M. Tjelmeland⁷  Jan-Thorsten Gräsner⁸  Johan Herlitz⁹  Siobhan Masterson^1,10 

[1] Anaesthesiology and Intensive Care Medicine, Asklepios Hospital St. Georg, Hamburg, Germany;Faculty of Medicine, Semmelweis University, Hamburg, Germany;Department of Clinical Sciences Lund, Neurology, Lund University, Skåne University Hospital, Lund, Sweden;European Resuscitation Council, Niel, Belgium;Servicio de Urgencias y Emergencias 061 de La Rioja, Logroño, Spain;European Resuscitation Council, Niel, Belgium;University of Antwerp, Antwerp, Belgium;Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Department of Research & Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway;Institute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany;Department of Anesthesiology and Intensive Care Medicine, University-Hospital Schleswig-Holstein, Kiel, Germany;School of Medicine, University of Namibia, Windhoek, Namibia;Institute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany;Division of Prehospital Services, Oslo University Hospital, Oslo, Norway;Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Institute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany;European Resuscitation Council, Niel, Belgium;Department of Anesthesiology and Intensive Care Medicine, University-Hospital Schleswig-Holstein, Kiel, Germany;PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work-Life and Social Welfare, University of Borås, Borås, Sweden;European Resuscitation Council, Niel, Belgium;The National Ambulance Service Ireland and the National University of Ireland Galway (on behalf of the Out-of-Hospital Cardiac Arrest Register (OHCAR)), Galway, Ireland;

关键词: Emergency Medical Services (EMS);    Out-of-hospital cardiac arrest;    Cardiac arrest registries;    Dispatch;    Epidemiology of cardiac arrest;   

DOI  :  10.1186/s13049-020-00798-7

来源: Springer

【 摘 要 】

BackgroundVariation in the incidence, survival rate and factors associated with survival after cardiac arrest in Europe is reported. Some studies have tried to fill the knowledge gap regarding the epidemiology of out-of-hospital cardiac arrest in Europe but were unable to identify reasons for the reported differences. Therefore, the purpose of this study was to describe European Emergency Medical Systems, particularly from the perspective of country and ambulance service characteristics, cardiac arrest identification, dispatch, treatment, and monitoring.MethodsAn online questionnaire with 51 questions about ambulance and dispatch characteristics, on-scene management of cardiac arrest and the availability and dataset in cardiac arrest registries, was sent to all national coordinators who participated in the European Registry of Cardiac Arrest studies. In addition, individual invitations were sent to the remaining European countries.ResultsParticipants from 28 European countries responded to the questionnaire. Results were combined with official information on population density. Overall, the number of Emergency Medical Service missions, level of training of personnel, availability of Helicopter Emergency Medical Services and the involvement of first responders varied across and within countries. There were similarities in team training, availability of key resuscitation equipment and permission for ongoing performance of cardiopulmonary resuscitation during transported. The quality of reporting to cardiac arrest registries varied, as well as the data availability in the registries.ConclusionsThroughout Europe there are important differences in Emergency Medical Service systems and the response to out-of-hospital cardiac arrest. Explaining these differences is complicated due to significant variation in how variables are reported to and used in registries.

【 授权许可】

CC BY